01D0302068 CLIA NUMBER - GARRY MAGOUIRK MD

Laboratory Demographics

  • CLIA Code: 01D0302068
  • Facility Name: GARRY MAGOUIRK MD
  • Facility Address: 110 23RD STREET, NORTHWEST
    FAYETTE, AL
    ZIP 35555
  • Facility Phone: 205 932-3891
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GARRY W. MAGOUIRK
  • NPI Number: 1578557948
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0302068
LAB Type Physician Office
Facility Name GARRY MAGOUIRK MD
Street 110 23RD STREET, NORTHWEST
City FAYETTE
State AL
ZIP 35555
Phone 205 932-3891
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GARRY W. MAGOUIRK

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This page was last updated on: 9/29/2025